Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2021; 9(16): 3914-3918
Published online Jun 6, 2021. doi: 10.12998/wjcc.v9.i16.3914
Massive retroperitoneal hematoma as an acute complication of retrograde intrarenal surgery: A case report
Taesoo Choi, Jeonghyouk Choi, Gyeong Eun Min, Dong-Gi Lee
Taesoo Choi, Jeonghyouk Choi, Gyeong Eun Min, Dong-Gi Lee, Department of Urology, School of Medicine, Kyung Hee University, Seoul 05278, South Korea
Author contributions: Choi T reviewed the literature and contributed to manuscript drafting; Choi J reviewed the literature and contributed to manuscript drafting; Min GE performed the disease consultation, and reviewed the literature; Lee DG interpreted the imaging findings and was responsible for the revision of the manuscript for intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist, and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dong-Gi Lee, MD, Doctor, Department of Urology, School of Medicine, Kyung Hee University, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, South Korea. drpedurology@khnmc.or.kr
Received: October 8, 2020
Peer-review started: October 8, 2020
First decision: January 17, 2021
Revised: January 25, 2021
Accepted: April 12, 2021
Article in press: April 12, 2021
Published online: June 6, 2021
Processing time: 212 Days and 4.3 Hours
Core Tip

Core Tip: Retrograde intrarenal surgery (RIRS) is known as an effective and safe procedure for the management of renal stones. Most of the cases shows excellent clinical outcome, while life threatening complications may occur in some cases. During RIRS, ureteral access sheath (UAS) helps surgeon to reduce operative time as well as potential complications associated with stone retrieval. However, we should remember to manipulate UAS carefully, due to its own risk of ureteral tearing. This case emphasize us to pay attention to acute postoperative pain even after successful RIRS. Additionally, the useful diagnostic suggestions are mentioned based on our experience.